Mark J. Glaccum, DC

Chiropractor · Thomasville, GA

Individual Active NPI

NPI number 1205008786

Practice location

415 Gordon Avenue
Thomasville, GA 31792
Phone
(229) 226-3101
Fax
(229) 225-1745

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NPI record

NPI
1205008786
Entity type
Individual (Type 1)
Enumeration date
March 25, 2008
Last updated
March 25, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X CHIR002714 GA

About Dr. Glaccum

Mark J. Glaccum, DC is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 415 Gordon Avenue, Thomasville, GA 31792. The NPI number 1205008786 was assigned on March 25, 2008 and the record was last updated on March 25, 2008.

Dr. Glaccum lists a license in the registry: #CHIR002714 (GA) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark J. Glaccum, DC?

The NPI number is 1205008786.

What is the phone number of Dr. Glaccum?

The phone number listed for the practice location is (229) 226-3101.

Where is Dr. Glaccum located?

415 Gordon Avenue, Thomasville, GA 31792.

What is the taxonomy code for Dr. Glaccum?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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